Supportive Care in Cancer

, Volume 15, Issue 5, pp 515–523

Breast cancer survivors’ supportive care needs 2–10 years after diagnosis


    • Department of Gynecological CancerWestmead Hospital
    • Department of Psychological MedicineUniversity of Sydney
  • Phyllis Butow
    • Medical Psychology Research Unit, School of Psychology, Brennan/MacCallum Building (A18)University of Sydney
  • Glenn E Hunt
    • Department of Psychological MedicineUniversity of Sydney
  • Susan Pendlebury
    • Department of Radiation Oncology, Royal Prince Alfred HospitalUniversity of Sydney
  • Kim M Hobbs
    • Department of Gynecological CancerWestmead Hospital
  • Gerard Wain
    • Department of Gynecological CancerWestmead Hospital
Original Article

DOI: 10.1007/s00520-006-0170-2

Cite this article as:
Hodgkinson, K., Butow, P., Hunt, G.E. et al. Support Care Cancer (2007) 15: 515. doi:10.1007/s00520-006-0170-2


Goals of the work

A significant proportion of breast cancer patients experience psychosocial morbidity after treatment, although their longer-term outcomes and supportive care service needs have not been comprehensively documented. The aim of this study was to identify longer-term outcomes and supportive care needs in disease-free breast cancer survivors.

Materials and methods

One hundred seventeen patients who had been diagnosed with breast cancer 2–10 years earlier completed questionnaires to assess psychosocial outcomes including supportive care needs, psychological distress, and quality of life (QoL).

Main results

QoL and depression scores were consistent with community rates although anxiety scores were higher. Approximately two thirds of survivors reported at least one unmet need, most frequently concerning existential survivorship issues, thereby highlighting the unique needs of survivors. Years since diagnosis was not correlated with need levels. Survivors classified as clinically anxious reported over three times as many unmet needs and survivors classified as depressed reported over two and a half times as many unmet needs. Positive outcomes were frequently reported.


The findings have direct clinical relevance: irrespective of years since diagnosis, comprehensive and extended supportive care services are required to identify breast cancer survivors in need of supportive care interventions and remediate high levels of anxiety.


Breast cancer survivors Unmet needs Supportive care Psychosocial outcomes Benefit finding

Copyright information

© Springer-Verlag 2006